Become a PartnerShip Carrier

Contact Information

First Name

Last Name

Email Address

Phone Number

Extension

Address 1

Address 2

City

State/Province

Zip/Postal Code

How did you hear about PartnerShip?

Company Information

Company Name

Company Website

MC Number

DOT Number

Company Address

Use same address as above

Address 1

Address 2

City

State/Province

Zip/Postal Code

Dispatch Contact

Dispatch contact is same as above

Dispatch Contact

Dispatch Phone

Dispatch Email

Fleet Information

Number of Trucks

Number Of Trailers

Number Of Driver Teams

Describe your Fleet and Preferred Lanes

Dry Van 53'

Dry Van 48'

FlatBed

Refrigerated

Other

(please list all that apply below)

Certifications

Hazmat

Smart Way

Documents

Operating Authority Choose a file...

W-9 Choose a file...

Insurance Certificate Choose a file...

Worker's Comp Choose a file...

Verification

Awards & Affiliations